Discuss the general historical trajectory of Global Health and differentiate between âverticalâ and
âhorizontalâ approaches to heath care
-Tropical Medicine Era-- white mans burden, wanted to improve conditions for political control and extraction of resources; 18th-19th centuries
- International Health Era-- Targeted individual problems and patients--Malaria/Smallpox Eradication Programmes; Post WWII, late 19th, early 20th
-Primary health care/Alma Ata Declaration-- Universal healthcare accessible to all individuals in a community, critique of disease specific health initiatives/medical elitism, community participation (Horizontal)
-Selective primary health care-- GOBI (growth monitoring, oral rehydration, breastfeeding, immunization) and FFF (family planning, female literacy, food supplementation); ignored the leading causes of mortality (Verticle)
-Vertical is targeting specific diseases and medical elitism, UNICEF and Rockefeller Foundation World Bank
-Horizontal tries to tackle over-all health problems on a long term basis; World Health Organization
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